DILTIAZEM

(dil-tye’a-zem)
Cardizem, Cardizem CD, Cardizem LA, Cardizem SR, Cardizem Lyo-Ject, Cartia XT, Dilacor XR, Tiamate, Tiazac, Taztia XT
DILTIAZEM IV
Cardizem IV
Classifications: cardiovascular agent; calcium channel blocking agent; antihypertensive
Prototype: Verapamil
Pregnancy Category: C
NURSING IMPLICATIONS
Assessment & Drug Effects

Check BP and ECG before initiation of therapy and monitor particularly during dosage adjustment [...]

DOBUTAMINE HYDROCHLORIDE

(doe-byoo’ta-meen)
Dobutrex
Classifications: autonomic nervous system agent; beta-adrenergic agonist; catecholamine
Prototype: Isoproterenol
Pregnancy Category: C
NURSING IMPLICATIONS
Assessment & Drug Effects

Correct hypovolemia by administration of appropriate volume expanders prior to initiation of therapy.
Monitor therapeutic effectiveness. At any given dosage level, drug takes 10–20 min to produce [...]

DOPAMINE HYDROCHLORIDE

(doe’pa-meen)
Dopastat, Intropin, Revimine 
Classifications: autonomic nervous system agent; alpha- and beta-adrenergic agonist (sympathomimetic)
Prototype: Epinephrine
Pregnancy Category: C
NURSING IMPLICATIONS
Assessment & Drug Effects

Monitor blood pressure, pulse, peripheral pulses, and urinary output at intervals prescribed by physician. Precise measurements are essential for accurate titration of [...]

ENOXAPARIN

(e-nox’a-pa-rin)
Lovenox
Classifications: blood formers, coagulators, and anticoagulants; low molecular weight heparin
Pregnancy Category: B
NURSING IMPLICATIONS
Assessment & Drug Effects

Lab tests: Baseline coagulation studies; periodic CBC, platelet count, urine and stool for occult blood.
Monitor platelet count closely. Withhold drug and notify physician if platelet [...]

EPINEPHRINE

(ep-i-ne’frin)
Bronkaid Mist, Epi-E-Zpen, Epinephrine Pediatric, EpiPen Auto-Injector, Primatene Mist Suspension
EPINEPHRINE BITARTRATE
AsthmaHaler, Bronkaid Mist Suspension, Bronitin Mist Suspension, Epitrate, Medihaler-Epi, Primatene Mist Suspension
EPINEPHRINE HYDROCHLORIDE
Adrenalin Chloride, Bronkaid Mistometer, Dysne-Inhal, Epifrin, Glaucon, SusPhrine
 
NURSING IMPLICATIONS
Assessment & Drug Effects

Monitor BP, pulse, respirations, and urinary output and observe patient closely following IV [...]

ESOMEPRAZOLE MAGNESIUM

(e-so-me’pra-zole)
Nexium
Classifications: gastrointestinal agent; proton pump inhibitor
Prototype: Omeprazole
Pregnancy Category: B
NURSING IMPLICATIONS
Assessment & Drug Effects

Monitor for S&S of adverse CNS effects (vertigo, agitation, depression) especially in severely ill patients.
Monitor phenytoin levels with concurrent use.
Monitor INR/PT with concurrent [...]

Filipino nurse in the US prepares tests for wannabes

EVERY FILIPINO NURSE WHO dreams of working in the US and has fears of taking the required National Council of Licensure Examinations (NCLEX) should know this—a Filipina who also went through the rigors of reviewing for this test is now an examiner for the NCLEX.
Adel Vidal Blanco, a registered nurse for the past 32 years [...]

ETHINYL ESTRADIOL

(eth’in-il ess-tra-dye’ole)
Estinyl, Feminone
Classifications: hormones and synthetic substitutes; estrogen
Prototype: Estradiol
Pregnancy Category: X
NURSING IMPLICATIONS
Assessment & Drug Effects

Check BP on a regular basis in patients with conditions that may be influenced by fluid retention (migraine, cardiac or kidney dysfunction, asthma, epilepsy, hypertension).
Supplement pyridoxine [...]

FUROSEMIDE

(fur-oh’se-mide)
Fumide , Furomide , Lasix, Luramide 
Classifications: electrolytic and water balance agent; loop diuretic
Pregnancy Category: C
NURSING IMPLICATIONS
Assessment & Drug Effects

Observe patients receiving parenteral drug carefully; closely monitor BP and vital signs. Sudden death from cardiac arrest has been reported.
Monitor BP during periods of [...]

HYDROCORTISONE

(hye-droe-kor’ti-sone)
Aeroseb-HC, Alphaderm, Cetacort, Cortaid, Cort-Dome, Cortenema, Cortril, Dermacort, Dermolate, Hydrocortone, Hytone, Proctocort, Rectocort , Synacort
HYDROCORTISONE ACETATE
Anusol HC, CaldeCort, Carmol HC, Colifoam, Cortaid, Cortamed, Cort-Dome, Cortef Acetate, Corticaine, Cortifoam, Cortiment , Epifoam, Hydrocortone Acetate
HYDROCORTISONE CYPIONATE
Cortef Fluid
HYDROCORTISONE SODIUM PHOSPHATE
Hydrocortone Phosphate
HYDROCORTISONE SODIUM SUCCINATE
A-Hydrocort, Solu-Cortef
HYDROCORTISONE VALERATE
Westcort
Classifications: skin and mucous membrane agent; antiinflammatory; synthetic hormone; adrenal corticosteroids; glucocorticoid; mineralocorticoid
Pregnancy Category: C
NURSING IMPLICATIONS
Assessment [...]